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The new @RenalAssoc Pregnancy and Renal Disease Guideline (chaired by @DrKateWiles) is a veritable goldmine of practical pearls and clinical wisdoms, as well as some new or updated practice-changing recommendations. Here come a few of my take-homes... #renalSCE #meded #CKD
@RenalAssoc @DrKateWiles First the pre-conception ACEi/ARB advice has been clarified. Quite clear now that continuing ACEi up until the point of missed-period or positive test in strong-indication patient (eg IgA disease) is sound strategy. Lack of data means @renalassoc advise avoiding ARB #meded
@RenalAssoc @DrKateWiles This guideline clears up the slightly wishy-washy advice about breastfeeding on immunosuppressant drugs in the @RenalAssoc transplant guideline. Prednisolone, Tacrolimus, cyclosporin, azathioprine = all recommended safe to breastfeed. #meded
